1-28334525-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_017638.3(MED18):ā€‹c.182A>Gā€‹(p.Lys61Arg) variant causes a missense change. The variant allele was found at a frequency of 0.00000658 in 152,078 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 32)

Consequence

MED18
NM_017638.3 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.04
Variant links:
Genes affected
MED18 (HGNC:25944): (mediator complex subunit 18) MED18 is a component of the Mediator complex, which is a coactivator for DNA-binding factors that activate transcription via RNA polymerase II (Sato et al., 2003 [PubMed 12584197]).[supplied by OMIM, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.11012524).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MED18NM_017638.3 linkuse as main transcriptc.182A>G p.Lys61Arg missense_variant 3/3 ENST00000373842.9 NP_060108.2
MED18NM_001127350.2 linkuse as main transcriptc.182A>G p.Lys61Arg missense_variant 3/3 NP_001120822.1
MED18XM_005245914.5 linkuse as main transcriptc.182A>G p.Lys61Arg missense_variant 3/3 XP_005245971.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MED18ENST00000373842.9 linkuse as main transcriptc.182A>G p.Lys61Arg missense_variant 3/32 NM_017638.3 ENSP00000362948 P1
MED18ENST00000398997.2 linkuse as main transcriptc.182A>G p.Lys61Arg missense_variant 3/45 ENSP00000381963 P1
MED18ENST00000474683.1 linkuse as main transcriptn.341A>G non_coding_transcript_exon_variant 3/33
MED18ENST00000479574.5 linkuse as main transcriptn.371A>G non_coding_transcript_exon_variant 3/32

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152078
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
31
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
152078
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74290
show subpopulations
Gnomad4 AFR
AF:
0.0000242
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 21, 2023The c.182A>G (p.K61R) alteration is located in exon 3 (coding exon 2) of the MED18 gene. This alteration results from a A to G substitution at nucleotide position 182, causing the lysine (K) at amino acid position 61 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
0.00086
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
20
DANN
Benign
0.19
DEOGEN2
Benign
0.033
T;T
Eigen
Benign
-0.27
Eigen_PC
Benign
0.0048
FATHMM_MKL
Pathogenic
0.98
D
M_CAP
Benign
0.0014
T
MetaRNN
Benign
0.11
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.37
N;N
MutationTaster
Benign
0.73
N;N
PrimateAI
Pathogenic
0.84
D
PROVEAN
Benign
0.20
N;N
REVEL
Benign
0.19
Sift
Benign
0.99
T;T
Sift4G
Benign
1.0
T;T
Polyphen
0.0010
B;B
Vest4
0.083
MutPred
0.49
Loss of ubiquitination at K61 (P = 0.0161);Loss of ubiquitination at K61 (P = 0.0161);
MVP
0.18
MPC
0.45
ClinPred
0.49
T
GERP RS
5.8
Varity_R
0.11
gMVP
0.38

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1487031797; hg19: chr1-28661036; API